1. Becoming an ID Waiver Provider Division of Developmental Services Department of Behavioral Health and Developmental Services 2013 Provider Training Module 2

2. ID Waiver Provider Modules 2 1. Overview of the ID and DS Waivers 2. Becoming an ID Waiver Provider 3. Supporting People in the ID and DS Waivers 4. Introduction to Planning 5. Residential Services 6. PA, Respite and Companion – Agency-Directed 7. Employment and other Day Services 8. Crisis Stabilization and Supervision 9. Assistive Technology, Environmental Modifications and Transition Services 10. Skilled Nursing 11. Personal Emergency Response System 12. Consumer Directed Services and Services Facilitation 13. Therapeutic Consultation 14. Preauthorization and Reimbursement 15.Monitoring and Oversight

3. Provider Requirements 3  DBHDS License  DARS Vendor Agreement  VDH license  Other license/certification And have a DMAS participation agreement All providers must meet the requirements for their service, such as:

4. 4 Provider Requirements Service Providers X May not be parents of individuals under 18 or the individual’s spouse

5. 5 Getting a License/Certification

6. 6 QUALIFICATIONS of Agency & Staff QUALIFICATIONS of Agency & Staff “ ID Community Services Manual” Chapter II Included in specific service training modules. Getting a License/Certification

7. 7 Services In-HomeCongregateAD Companion Crisis Supervision AD Respite AD Personal Assistance DBHDS License Supportive In-home xxxxx Sponsored Residential xxxx Supervised Living xxxxxx Group Home xxxxx Acceptable Credentials for ID Waiver Residential Getting a License/Certification

8. 8 Services Day Support PrevocationalSupported Employment AD Companion Crisis Supervision Certification DBHDS License: Day Support x X xx DARS Vendor: Extended Employment or LTES x DARS Vendor: SE Services x Acceptable Credentials for Day Services Getting a License/Certification

9. 9 Services Personal Assistance RespiteCompanionSkilled Nursing Therapeutic Consultation Certification DBHDS License or VDH License XXX Professional License/ Endorsement XX Acceptable Credentials for Additional ID Waiver Services Getting a License/Certification

10. 10 Skilled Nursing Option ID Community Services Manual, Chapter II RN (or LPN supervised by RN) can be provided under DBHDS Residential, Day Support or Respite License A VDH-licensed home care organization or home health provider (opting to provide skilled nursing) OR

11. 11 www.dbhds.virginia.gov Obtain an application “Office of Licensing” “Licensing Application” “Initial Provider Application Packet” Getting a License/Certification “ Professional and Services Providers”

12. 12 Obtain an application (cont’d) –If no internet access contact: Call 804-786-1747, or Fax 804-692-0066, or Write The Office of Licensing, DBHDS, PO Box 1797, Richmond, VA 23218 - 1797 For DBHDS Licenses Getting a License/Certification

13. 13 Enrolling as a Medicaid Provider

14. 14 Request: “MENTAL RETARDATION WAIVER ENROLLMENT PACKAGE” Enrolling as a Medicaid Provider

15. 15 Call 804-270-7027 or 888-335-8476 (Fax) or Virginia Medicaid Provider Enrollment Services PO Box 26803 Richmond, VA 23261-6803 Enrolling as a Medicaid Provider

16. 16 Can download the DMAS Provider Enrollment Package Provider Services Available applications Mental Retardation Waiver https://www.virginiamedicaid.dmas.virginia.gov/wps/portal Provider Enrollment Enrolling as a Medicaid Provider or

17. 17 Send –the completed Provider Enrollment Package and –copy of license or certification to Virginia Medicaid Provider Enrollment Services PO Box 26803 Richmond, VA 23261-6803 Fax: 888-335-8476 or Enrolling as a Medicaid Provider

18. 18 Provider Qualifications Supervisors have: BA/BS in human services 1 year experience working directly with individuals with ID or DD Non-DBHDS licensed Supervisors must meet their established requirements

19. 19 Provider Qualifications Supervisors of DSPs: Complete the DSP Orientation online training Pass the online DSP Orientation Test to obtain a certificate Complete the Supervisor Assurance DSP Training Requirements

20. 20 Provider Qualifications

21. 21 Provider Qualifications Prior to beginning to provide ID & DS Waiver Services for... 1) Residential 2) Personal Assistance 3) Day Support Services 4) Prevocational Services

22. 22 Provider Qualifications DSP Orientation Manual Medicaid Required Staff Training

23. 23 Provider Qualifications http://www.dbhds.virginia.gov Developmental Services Provider Training Orientation Manual for DSPs ID & DS Waiver Orientation Training for Supervisors Professional and Service Providers

24. 24 Provider Qualifications DSPs must: Review orientation materials with supervisor Complete orientation test with 80% accuracy Sign “DSP Assurance” with supervisor

25. 25 Provider Qualifications Licensing Required Staff Training Training required per OL regulations 12 VAC 35-105-440--460, 510 Training required per OL regulations 12 VAC 35-105-440--460, 510 DBHDS Licensed Providers:

26. 26 Provider Qualifications Staff ratios appropriate to… Individual Service +

27. 27 IDOLS Registration All Providers must be enrolled in the Intellectual Disability Online System (IDOLS) to submit service authorizations under the ID and DS Waivers. IDOLS DMAS Memo 11-23-11 Electronic Authorizations

28. 28 Provider Survey Required for supporting people leaving training centers under the ID and DS Waivers in Virginia as of July 1, 2012. Designed to ensure a good match between individuals and providers and to better support choice. Provider Selection Process Update 9-2012 Choice Protocol 1-28-11 Provider Choice Process

29. 29 Open for Business Following DMAS approval: – You may inform CSB ID Directors and CRCs in writing about services Letter-Open for Business Announcing Services http://www.vacsb.org/directory.html

30. 30 Department of Behavioral Health and Developmental Services Division of Developmental Services Offices of Licensing and Human Rights http://www.dbhds.virginia.gov Available Resources: